Kindred Healthcare
Post-acute care provider operating hospitals, nursing centers, and home health services.
PE-OWNED
Acquired by TPG Capital2018-01-02
What Made It Great
Integrated post-acute care platform serving complex patient populations
What PE Will Likely Do
Staffing cuts leading to fewer registered nurses (RNs) and more licensed practical nurses (LPNs) or nurse aides providing patient care
Sale-leaseback of hospital real estate, extracting equity and potentially leading to higher rents and costs passed on to patients
Aggressive billing and coding practices to maximize reimbursements, potentially leading to overcharging for procedures and services
Elimination of less profitable but essential services like psychiatric care, rural care, and maternal care at Kindred Healthcare facilities
Increased management and consulting fees charged to Kindred Healthcare, reducing resources available for direct patient care
Expected Timeline
“0 to 6 months months”
Announcements of 'efficiency' programs and leadership changes at Kindred Healthcare
“6 to 12 months months”
Staffing reductions begin, with fewer RNs and more LPNs and aides providing patient care
“12 to 24 months months”
Patients experience longer wait times, reduced access to specialized services, and declines in overall care quality
“24 to 36 months months”
Major service closures, quality scandals, and potential financial troubles emerge at Kindred Healthcare facilities
“36+ months months”
Likelihood of bankruptcy, hospital closures, or Kindred Healthcare being sold to another operator at a distressed price
Similar Cases
Other companies that followed a similar path after PE acquisition
What You Can Do
Actions
Monitor for any changes in the quality of care, staffing levels, and availability of services at Kindred Healthcare facilities
Be aware of potential billing issues and advocate for transparent and appropriate coding practices
Engage with local community groups and patient advocacy organizations to stay informed and mobilize against any detrimental changes
Alternatives
Community-focused healthcare
Integrated managed care consortium